TWI744798B - Evaluation method and system of neuropsychiatric diseases based on brain imaging - Google Patents

Evaluation method and system of neuropsychiatric diseases based on brain imaging Download PDF

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TWI744798B
TWI744798B TW109104565A TW109104565A TWI744798B TW I744798 B TWI744798 B TW I744798B TW 109104565 A TW109104565 A TW 109104565A TW 109104565 A TW109104565 A TW 109104565A TW I744798 B TWI744798 B TW I744798B
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張育瑋
楊智傑
蔡世仁
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國立陽明交通大學
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Abstract

一種基於腦影像的神經精神疾病評估方法包含:將獲得的多個正常者的3D腦影像和多個神經精神疾病患者的3D腦影像依序執行了方位角校正處理及腦組織識別處理,獲得每一3D腦影像的白質、灰質及脊髓液影像部分;根據經降維處理的所有白質影像部分、所有灰質影像部分和所有脊髓液影像部分,利用深度神經網路演算法自我學習訓練,獲得分別對應於灰質、白質和脊髓液的第一至第三判定模型;及將有關於待判定3D腦影像之白質、灰質及脊髓液影像部分在降維後分別饋入該第一至第三判定模型,經演算後分別獲得第一至第三判定結果,並據以產生評估結果。A neuropsychiatric disease assessment method based on brain imaging includes: sequentially performing azimuth correction processing and brain tissue recognition processing on the 3D brain images of multiple normal persons and the 3D brain images of multiple neuropsychiatric patients, and obtaining each A white matter, gray matter, and spinal fluid image parts of a 3D brain image; according to all white matter image parts, all gray matter image parts, and all spinal fluid image parts processed by dimensionality reduction, the deep neural network algorithm is used for self-learning and training to obtain the corresponding The first to third judgment models of gray matter, white matter, and spinal fluid; and the white matter, gray matter, and spinal fluid images of the 3D brain images to be judged are fed into the first to third judgment models after dimensionality reduction. After calculation, the first to third judgment results are obtained respectively, and the evaluation results are generated accordingly.

Description

基於腦影像的神經精神疾病評估方法及系統Evaluation method and system of neuropsychiatric diseases based on brain imaging

本發明是有關於神經精神疾病的評估,特別是指一種基於腦影像的神經精神疾病評估方法及系統。 The present invention relates to the assessment of neuropsychiatric diseases, in particular to a neuropsychiatric assessment method and system based on brain images.

隨著經濟速快速發展所帶來的競爭壓力,致使在全球各國內罹患如思覺失調(Schizophrenia,又稱精神分裂)、躁鬱症(Bipolar)、憂鬱症(Depression)等精神疾病的病患已逐年增加。另外,全球逐漸高齡化的人口也使神經退化疾病如失智症(Dementia)以及巴金森氏症(Parkinson’s Disease)等的罹病人口逐年上升。目前這些神經精神疾病主要仍依賴病患行為表現的觀察紀錄和神經精神科醫師的臨床經驗進行定性分析方式來診斷。然而,由於多種神經精神疾病的認知或行為表現之間存在不同程度的表徵重疊,因此若僅依賴病患的症狀或行為表現的診斷將明顯不足。於是,在臨床上,可透過一種非侵入性的造影技術,例如磁振造影(Magnetic Resonance Imaging,簡稱MRI)儀所獲得的MRI腦影像進一步認識和理解神經精神疾病的複雜性與多變性。 With the pressure of competition brought about by the rapid economic development, the patients suffering from mental illnesses such as schizophrenia (also known as schizophrenia), bipolar disorder (Bipolar), and depression (Depression) in countries around the world have already increase yearly. In addition, the aging population in the world has also increased the number of people suffering from neurodegenerative diseases such as Dementia and Parkinson’s Disease. At present, these neuropsychiatric diseases are still diagnosed by qualitative analysis based on observation records of patient behavior and the clinical experience of neuropsychiatrists. However, since the cognitive or behavioral manifestations of a variety of neuropsychiatric diseases have different degrees of overlap in their representations, diagnosis based solely on the symptoms or behavioral manifestations of the patients will be significantly insufficient. Therefore, clinically, a non-invasive imaging technique, such as MRI brain images obtained by a Magnetic Resonance Imaging (MRI) instrument, can be used to further understand and understand the complexity and variability of neuropsychiatric diseases.

因此,如何利用腦影像來評估神經精神疾病以作為精神科醫師在臨床上的診斷輔助已成為當前重要的研究議題。 Therefore, how to use brain imaging to evaluate neuropsychiatric diseases as a clinical diagnostic aid for psychiatrists has become an important research topic.

因此,本發明的一目的,即在提供一種基於腦影像的神經精神疾病評估方法,其能克服上述問題或者至少部分的解決上述問題。 Therefore, an object of the present invention is to provide a neuropsychiatric disease assessment method based on brain imaging, which can overcome the above-mentioned problems or at least partially solve the above-mentioned problems.

於是,本發明所提供的一種基於腦影像的神經精神疾病評估方法,利用一電腦系統來執行,並包含以下步驟:(A)獲得多個分別對應於多個無神經精神疾病之正常者的3D腦影像、及多個分別對應於多個患有神經精神疾病的患者的3D腦影像;(B)對於步驟(A)所獲得的每一3D腦影像,執行一方位角校正處理,其中一深度學習演算法被用來辨識擷取自該3D腦影像並且彼此正交及相交於該3D腦影像的中心的第一至第三2D影像部分,以便根據該第一至第三2D影像部分的辨識結果校正該3D腦影像的該中心的3D方位角;(C)對於校正後的每一3D腦影像,基於白質、灰質和脊髓液在腦影像上不同的體素特性,執行一腦組織識別處理以便自該3D腦影像,擷取出一白質影像部分、一灰質影像部分和一脊髓液影像部分;(D)分別根據步驟(C)所獲得且經過降維處理後的所有白質影像部分、所有灰質影像部分和所有脊髓液影像部分,利用深度神 經網路演算法自我學習訓練,獲得分別對應於灰質、白質和脊髓液的第一至第三判定模型,該第一至第三判定模型其中每一者包含一輸入層、一與神經精神疾病患者的異常腦區相關連的特徵選擇層、多個隱藏層和一輸出層;(E)當接收到的一待判定3D腦影像時,對於該待判定3D腦影像,依序執行完該方位角校正處理和該腦組織識別處理,以獲得對應於該待判定3D腦影像的一待判定白質影像部分、一待判定灰質影像部分和一待判定脊髓液影像部分;(F)將經過降維處理後的該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分分別饋入該第一至第三判定模型的輸入層,經由該第一至第三判定模型的該特徵選擇層和該等隱藏層的演算後,在該第一至第三判定模型的輸出層分別產生第一至第三判定結果;及(G)根據該第一至第三判定結果產生一有關於異常腦區的評估結果。 Therefore, the method for evaluating neuropsychiatric diseases based on brain imaging provided by the present invention is executed by a computer system and includes the following steps: (A) Obtain a plurality of 3D images corresponding to a plurality of normal persons without neuropsychiatric diseases. Brain images, and multiple 3D brain images corresponding to multiple patients suffering from neuropsychiatric diseases; (B) For each 3D brain image obtained in step (A), perform azimuth correction processing, one of which is deep The learning algorithm is used to identify the first to third 2D image parts that are captured from the 3D brain image and are orthogonal to each other and intersect at the center of the 3D brain image, so as to identify the first to third 2D image parts Results Correct the 3D azimuth angle of the center of the 3D brain image; (C) For each corrected 3D brain image, perform a brain tissue recognition process based on the different voxel characteristics of white matter, gray matter and spinal fluid on the brain image In order to extract a white matter image portion, a gray matter image portion, and a spinal fluid image portion from the 3D brain image; (D) all white matter image portions and all gray matter images obtained according to step (C) and subjected to dimensionality reduction processing The imaging part and all spinal fluid imaging parts, using the depth of God Through self-learning and training of network algorithms, first to third judgment models corresponding to gray matter, white matter, and spinal fluid are obtained. Each of the first to third judgment models includes an input layer, one and a neuropsychiatric patient Feature selection layer, multiple hidden layers and an output layer related to abnormal brain regions; (E) When a 3D brain image to be determined is received, for the 3D brain image to be determined, the azimuth angle is executed sequentially Correction processing and the brain tissue recognition processing to obtain a white matter image portion to be determined, a gray matter image portion to be determined, and a spinal fluid image portion to be determined corresponding to the 3D brain image to be determined; (F) will undergo dimensionality reduction processing The subsequent white matter image portion to be determined, the gray matter image portion to be determined, and the spinal fluid image portion to be determined are fed into the input layer of the first to third determination models, respectively, through the features of the first to third determination models After the calculation of the selected layer and the hidden layers, the first to third judgment results are generated in the output layers of the first to third judgment models, respectively; and (G) a related result is generated according to the first to third judgment results Evaluation results of abnormal brain areas.

因此,本發明的另一目的,即在提供一種基於腦影像的神經精神疾病評估系統,其克服上述問題或者至少部分的解決上述問題。 Therefore, another object of the present invention is to provide a neuropsychiatric disease assessment system based on brain imaging, which overcomes the above-mentioned problems or at least partially solves the above-mentioned problems.

於是,本發明所提供的一種基於腦影像的神經精神疾病評估系統包含一判定平台。該判定平台包括一儲存模組、一傳輸模組、一方位角校正模組、一腦組織識別模組、及一處理模組。該儲存模組儲存有如上述神經精神疾病評估方法所述的該第一至第 三判定模型。該傳輸模組適於接收一待判定3D腦影像。該方位角校正模組連接該傳輸模組以接收該待判定3D腦影像,自該待判定3D腦影像擷取出彼此正交且相交於該待判定3D腦影像的中心的第一至第三2D影像部分,利用一深度學習演算法進行對於該第一至第三2D影像部分的影像辨識,且根據該第一至第三2D影像部分的辨識結果校正該待判定3D腦影像的該中心的3D方位角。該腦組織識別模組連接該傳輸模組以接收校正後的該待判定3D腦影像,並基於白質、灰質和脊髓液在腦影像上不同的體素特性,自校正後的該待判定3D腦影像擷取出一待判定白質影像部分、一待判定灰質影像部分和一待判定脊髓液影像部分。該處理模組連接該儲存模組、該傳輸模組和該腦組織識別模組,並利用該儲存模組儲存的該第一至第三判定模型,將來自該腦組織識別模組的該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分經過降維處理後分別饋入該第一至第三判定模型的輸入層,經由該第一至第三判定模型的特徵選擇層和隱藏層的演算後,在該第一至第三判定模型的輸出層分別產生第一至第三判定結果,而且根據該第一至第三判定結果產生一評估結果且經由該傳輸模組向外輸出該評估結果。 Therefore, the neuropsychiatric disease assessment system based on brain imaging provided by the present invention includes a judgment platform. The judgment platform includes a storage module, a transmission module, an azimuth correction module, a brain tissue recognition module, and a processing module. The storage module stores the first to second Three judgment models. The transmission module is suitable for receiving a 3D brain image to be determined. The azimuth correction module is connected to the transmission module to receive the 3D brain image to be determined, and from the 3D brain image to be determined, first to third 2D orthogonal to each other and intersecting at the center of the 3D brain image to be determined are extracted The image part uses a deep learning algorithm to perform image recognition of the first to third 2D image parts, and corrects the 3D of the center of the to-be-determined 3D brain image according to the recognition results of the first to third 2D image parts Azimuth. The brain tissue recognition module is connected to the transmission module to receive the corrected 3D brain image to be determined, and based on the different voxel characteristics of the white matter, gray matter, and spinal fluid on the brain image, the corrected 3D brain to be determined The image captures a white matter image portion to be determined, a gray matter image portion to be determined, and a spinal fluid image portion to be determined. The processing module is connected to the storage module, the transmission module, and the brain tissue recognition module, and uses the first to third judgment models stored in the storage module to transfer the waiting data from the brain tissue recognition module The determined white matter image portion, the gray matter image portion to be determined, and the spinal fluid image portion to be determined are respectively fed into the input layer of the first to third determination models after dimensionality reduction processing, through the features of the first to third determination models After the calculation of the selection layer and the hidden layer, the first to third judgment results are respectively generated in the output layers of the first to third judgment models, and an evaluation result is generated according to the first to third judgment results and passed through the transmission model. The group outputs the evaluation result to the outside.

本發明之功效在於:對於用於訓練該第一至第三判定模型的每一3D腦影像及該待判定3D腦影像均執行了方位角校正處理,藉此能有效去除因頭動所導致的干擾並有助於建立精準的判定 模型,以及精準的腦影像判定;此外,由於採用了無神經精神疾病的正常者和患有神經精神疾病之患者的3D腦影像來分別進行對應於白質、灰質及脊髓液等不同腦組織的模型訓練,因此,建立的該第一至第三判定模型不僅對於神經精神疾病患者的3D腦影像具有相對高的敏感度(Sensitivity),而且對於無神經精神疾病之正常者的3D腦影像亦具有相對高的特異度(Specificity)。在應用上,包含該第一至第三判定結果的評估結果確實能提供給精神科醫師並作為在診斷神經精神疾病病患上有效的輔助判定依據。 The effect of the present invention is to perform azimuth correction processing on each of the 3D brain images used to train the first to third judgment models and the 3D brain images to be judged, thereby effectively removing the head movement caused Interference and help establish accurate judgments Models, and accurate brain image determination; In addition, 3D brain images of normal persons without neuropsychiatric diseases and patients with neuropsychiatric diseases are used to perform models corresponding to different brain tissues such as white matter, gray matter, and spinal fluid. Therefore, the established first to third judgment models not only have relatively high sensitivity for 3D brain images of patients with neuropsychiatric diseases, but also have relatively high sensitivity for 3D brain images of normal persons without neuropsychiatric diseases. High specificity (Specificity). In application, the evaluation results including the first to third judgment results can indeed be provided to psychiatrists and used as an effective auxiliary judgment basis for diagnosing neuropsychiatric patients.

100:神經精神疾病評估系統 100: Neuropsychiatric Disease Assessment System

10:判定平台 10: Determine the platform

1:儲存模組 1: Storage module

2:傳輸模組 2: Transmission module

3:方位角校正模組 3: Azimuth correction module

4:腦組織識別模組 4: Brain tissue recognition module

5:處理模組 5: Processing module

20:使用終端 20: Use the terminal

200:通訊網路 200: Communication network

S301~S307:步驟 S301~S307: steps

S801~S807:步驟 S801~S807: steps

本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中:圖1是一方塊圖,示例性地繪示本發明實施例基於腦影像的神經精神疾病評估系統的架構;圖2是一方塊圖,示例性地繪示該實施例的一判定平台的架構圖3是一流程圖,示例性地說明該判定平台的一儲存模組所儲存的第一至第三判定模型如何被建立;圖4至圖6分別繪示出由該判定平台的一方位角校正模組校正後的第一至第三2D影像之範例;圖7是一示意圖,示例性地說明該實施例所建立的該第一/二/三 判定模型的架構;及圖8是一流程圖,示例性地說明該實施例如何對於一待判定3D腦影像執行神經精神疾病評估處理。 Other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, in which: FIG. 1 is a block diagram exemplarily showing the brain imaging-based neuropsychiatric disease assessment system of an embodiment of the present invention Architecture; Figure 2 is a block diagram exemplarily depicting the architecture of a determination platform of this embodiment. Figure 3 is a flow chart exemplarily illustrating the first to third stored in a storage module of the determination platform How the judgment model is established; Figures 4 to 6 respectively show examples of the first to third 2D images corrected by the azimuth correction module of the judgment platform; Figure 7 is a schematic diagram illustrating this exemplarily The first/second/third created by the embodiment The architecture of the judgment model; and FIG. 8 is a flowchart illustrating how the embodiment performs neuropsychiatric assessment processing on a 3D brain image to be judged.

在本發明被詳細描述之前,應當注意在以下的說明內容中,類似的元件是以相同的編號來表示。 Before the present invention is described in detail, it should be noted that in the following description, similar elements are denoted by the same numbers.

參閱圖1,所繪示的本發明實施例的基於腦影像的神經精神疾病評估系統100主要是用來判定一待判定3D(3-dimentional)腦影像是否存在有與神經精神疾病相關聯的異常腦區。在本實施例中,該待判定3D腦影像例如可以是藉由如磁振造影(MRI)儀掃描人腦在軸向上的不同切面所獲得的多個2D(2-dimentional)MRI影像組合而成的3DMRI影像,但不以此例為限,在其他實施例,亦可為3D電腦斷層掃描(Computerized Tomography,簡稱CT)影像。該神經精神疾病評估系統100包含一判定平台10、及一使用終端20。該判定平台10例如可以一電腦系統(圖未示)來實施,而該使用終端20例如可以一電腦裝置(如桌上型電腦、筆記型電腦、平板電腦、智慧型手機等)來實施,並經由一通訊網路200(如網際網路)與該判定平台10通訊。在實際使用時,該判定平台10可視為一用來提供神經精神疾病評估服務的雲端伺服 器,以便對於相似於該使用終端20的其他電子裝置(如圖1虛線所指示)所提出的評估請求提供此神經精神疾病評估服務。 Referring to FIG. 1, the neuropsychiatric disease assessment system 100 based on brain imaging of the illustrated embodiment of the present invention is mainly used to determine whether a 3-dimentional brain image has abnormalities associated with neuropsychiatric diseases. Brain area. In this embodiment, the to-be-determined 3D brain image may be, for example, a combination of multiple 2D (2-dimentional) MRI images obtained by scanning different sections of the human brain in the axial direction, such as by a magnetic resonance imaging (MRI) instrument. The 3D MRI image is not limited to this example. In other embodiments, it may also be a 3D computerized tomography (CT) image. The neuropsychiatric disease assessment system 100 includes a judgment platform 10 and a terminal 20. The determination platform 10 can be implemented by, for example, a computer system (not shown), and the user terminal 20 can be implemented by, for example, a computer device (such as a desktop computer, a notebook computer, a tablet computer, a smart phone, etc.), and It communicates with the determination platform 10 via a communication network 200 (such as the Internet). In actual use, the judgment platform 10 can be regarded as a cloud server for providing neuropsychiatric disease assessment services. In order to provide this neuropsychiatric disease evaluation service for evaluation requests made by other electronic devices similar to the user terminal 20 (as indicated by the dotted line in FIG. 1).

參閱圖2,該判定平台例如包含一儲存模組1、一連接該通訊網路200且用於資料傳輸的傳輸模組2、一連接該傳輸模組2的方位角校正模組3、一連接該方位角校正模組3的腦組織識別模組4,以及一連接該儲存模組1、該傳輸模組2和該腦組織識別模組4的處理模組5。該方位角校正模組3、該腦組織識別模組4及該處理模組5的操作與作用將於下文中說明。 Referring to FIG. 2, the judgment platform includes, for example, a storage module 1, a transmission module connected to the communication network 200 and used for data transmission 2, an azimuth correction module 3 connected to the transmission module 2, and an azimuth correction module 3 connected to the transmission module 2. The brain tissue recognition module 4 of the azimuth correction module 3, and a processing module 5 connected to the storage module 1, the transmission module 2 and the brain tissue recognition module 4. The operations and functions of the azimuth correction module 3, the brain tissue recognition module 4, and the processing module 5 will be described below.

在本實施例中,在使用前,該儲存模組1預先儲存有分別對應於三種腦組織,即,白質、灰質和脊髓液的第一判定模型、第二判定模型和第三判定模型。以下將參閱圖2及圖3進一步示例地詳細說明如何使用該判定平台10(或相似於該判定平台10的電腦系統)執行一建模程序,以獲得該第一至第三判定模型。該建模程序包含以下步驟S301~S307。 In this embodiment, before use, the storage module 1 pre-stores a first judgment model, a second judgment model, and a third judgment model corresponding to three types of brain tissues, namely, white matter, gray matter, and spinal fluid. Hereinafter, referring to FIGS. 2 and 3, we will further illustrate in detail how to use the determination platform 10 (or a computer system similar to the determination platform 10) to execute a modeling program to obtain the first to third determination models. The modeling procedure includes the following steps S301~S307.

在步驟S301中,該傳輸模組2獲得來自外部的多個(例如,250個,但不以此例為限)分別對應於多個無神經精神疾病之正常者的3D腦影像、及多個(例如,250個,但不以此例為限)分別對應於多個患有神經精神疾病的患者的3D腦影像。 In step S301, the transmission module 2 obtains a plurality of (for example, 250, but not limited to this example) 3D brain images corresponding to a plurality of normal persons without neuropsychiatric diseases, and a plurality of 3D brain images from outside. (For example, 250, but not limited to this example) 3D brain images corresponding to multiple patients suffering from neuropsychiatric diseases.

然後,在步驟S302中,該方位角校正模組3對於該傳輸模組2所獲得的每一3D腦影像,執行一方位角校正處理。更具體地, 在對於每一3D腦影像的方位角校正處理中,該方位角校正模組3先從該3D腦影像擷取出彼此正交且相交於該3D腦影像的中心的第一至第三2D影像部分。在本實施例中,例如,該第一2D影像部分為該3D腦影像的一垂直於冠向(coronal)的切面,如圖4所示;該第二2D影像部分為該3D腦影像的一垂直於矢向(sagittal)的切面,如圖5所示;及該第三2D影像部分為該3D腦影像的一垂直於軸向(axial)的切面,如圖6所示。然後,該方位角校正模組3利用一深度學習演算法來辨識該第一至第三2D影像部分,以便根據該第一至第三2D影像部分的辨識結果校正該3D腦影像的該中心的3D方位角。值得注意的是,該深度學習演算法利用例如卷積神經網路(Convolutional Neural Network,簡稱CNN)回歸模型來進行影像辨識及影像比對處理,但不以此例為限。舉例來說,本實施例所使用的卷積神經網路回歸模型可被規劃成具有2~4個卷基層(convolution layers)、一個全連接層(full connected layer)和一個回歸層(regression layer),但不以此例為限,藉此能使整體校正處理具有一致性。更明確地,在本實施例中,該方位角校正模組3利用該深度學習演算法來判定該第一2D影像部分及該第三2D影像部分其中每一者在左右兩側是否大致彼此對稱,以及辨識出該第二2D影像部分所含的兩個分別對應於兩個預定腦部特徵的參考影像區且判定該等參考影像區的所在位置是否位於一水平線。在本 實施例中,該兩個預定腦部特徵例如分別為前連合(Anterior Commissure)和後連合(Posterior Commissure),而該兩個參考影像區例如分別為代表前連合的第一參考影像區51、及代表後連合的第二參考影像區52,如圖5所示。於是,該方位角判定模組3在判定出該第一2D影像部分在左右兩側不對稱時,以相對於該冠向轉動該第一2D影像部分的方式校準該第一2D影像部分直到校準後的該第一2D影像部分在左右兩側彼此大致對稱(見圖4),並將相對於該冠向的總轉動角度作為校正後的該3D方位角在該冠向的校正角度。該方位角判定模組3在判定出該等參考影像區51,52的所在位置不位於一水平線時,以相對於該矢向轉動該第二2D影像部分的方式校準該第二2D影像部分直到在校準後的該第二2D影像部分的該等參考影像區51,52的所在位置位於一水平線(見圖5),並將相對於該矢向的總轉動角度作為校正後的該3D方位角在該矢向的校正角度。該方位角判定模組3在判定出該第三2D影像部分在左右兩側不對稱時,以相對於該軸向轉動該第三2D影像部分的方式校準該第三2D影像部分直到校準後的該第三2D影像部分在左右兩側彼此大致對稱(見圖6),並將相對於該軸向的總轉動角度作為校正後的該3D方位角在該軸向的校正角度。藉由此方位角校正處理,可有效除去該3D腦影像(在拍攝時)受到例如頭動的干擾。於是,該方位角校正模組3將校正後的所有3D腦影像傳送至該腦組織識別模組 4。 Then, in step S302, the azimuth correction module 3 performs azimuth correction processing for each 3D brain image obtained by the transmission module 2. More specifically, In the azimuth correction processing for each 3D brain image, the azimuth correction module 3 first extracts the first to third 2D image parts orthogonal to each other and intersecting at the center of the 3D brain image from the 3D brain image . In this embodiment, for example, the first 2D image portion is a section of the 3D brain image perpendicular to the coronal, as shown in FIG. 4; the second 2D image portion is a section of the 3D brain image The section perpendicular to the sagittal direction, as shown in FIG. 5; and the third 2D image part is an axial section of the 3D brain image, as shown in FIG. 6. Then, the azimuth correction module 3 uses a deep learning algorithm to identify the first to third 2D image parts, so as to correct the center of the 3D brain image according to the identification results of the first to third 2D image parts 3D azimuth. It is worth noting that the deep learning algorithm uses, for example, a Convolutional Neural Network (CNN) regression model to perform image recognition and image comparison processing, but it is not limited to this example. For example, the convolutional neural network regression model used in this embodiment can be planned to have 2 to 4 convolution layers, a full connected layer, and a regression layer. , But not limited to this example, so that the overall calibration process can be consistent. More specifically, in this embodiment, the azimuth correction module 3 uses the deep learning algorithm to determine whether each of the first 2D image portion and the third 2D image portion is approximately symmetrical to each other on the left and right sides. , And identify the two reference image regions contained in the second 2D image portion corresponding to two predetermined brain features, and determine whether the positions of the reference image regions are on a horizontal line. In this In an embodiment, the two predetermined brain features are, for example, Anterior Commissure and Posterior Commissure, respectively, and the two reference image areas are, for example, the first reference image area 51 representing the Anterior Commissure, and The second reference image area 52 representing the post-combination is shown in FIG. 5. Therefore, when the azimuth angle determination module 3 determines that the first 2D image portion is asymmetrical on the left and right sides, it calibrates the first 2D image portion by rotating the first 2D image portion relative to the coronal direction until it is calibrated. The latter first 2D image portion is approximately symmetrical to each other on the left and right sides (see FIG. 4), and the total rotation angle relative to the coronal direction is taken as the corrected angle of the corrected 3D azimuth in the coronal direction. When the azimuth determining module 3 determines that the positions of the reference image areas 51, 52 are not located on a horizontal line, the second 2D image portion is calibrated by rotating the second 2D image portion with respect to the sagittal direction until the The positions of the reference image areas 51, 52 of the calibrated second 2D image portion are located on a horizontal line (see Figure 5), and the total rotation angle relative to the sagittal direction is taken as the corrected 3D azimuth angle in the The correction angle of the sagittal direction. When the azimuth determining module 3 determines that the third 2D image portion is asymmetric on the left and right sides, it calibrates the third 2D image portion by rotating the third 2D image portion relative to the axial direction until the calibrated The third 2D image portion is approximately symmetrical to each other on the left and right sides (see FIG. 6), and the total rotation angle relative to the axial direction is used as the corrected angle of the 3D azimuth angle in the axial direction. With this azimuth correction processing, the 3D brain image (during shooting) can be effectively removed from the interference caused by, for example, head movement. Therefore, the azimuth correction module 3 transmits all the corrected 3D brain images to the brain tissue recognition module 4.

之後,在步驟S303中,該腦組織識別模組4對於來自該方位角校正模組3的每一3D腦影像(其方位角已校正),基於白質、灰質、脊髓液等腦組織在腦影像上不同的體素值(Intensity of Voxel)分佈特性,執行一腦組織識別處理,以便自該3D腦影像,擷取出一白質影像部分、一灰質影像部分和一脊髓液影像部分,其中每一者亦為一3D影像。舉例來說,灰質、白質和脊髓液的體素值分佈範圍能根據經由分析該3D腦影像而獲得的體素數量(Number of Voxel)對體素值(Intensity of Voxel)的直方分佈圖(即,每一體素值與體素數量的關係),並利用由三個高斯分佈所組成的常模來決定。在本實施例中,白質的體素值分佈範圍例如為7500~22500;灰質的體素值分佈範圍例如為5500~20000;及脊髓液的體素值分佈範圍例如為0~13000,但不在此限。於是,該腦組織辨識模組4將擷取自所有3D腦影像的多個白質影像部分、多個灰質影像部分和多個脊髓液影像部分傳送至該處理模組5。 After that, in step S303, the brain tissue recognition module 4 uses the white matter, gray matter, spinal fluid, and other brain tissues in the brain image for each 3D brain image from the azimuth correction module 3 (the azimuth angle has been corrected). Perform a brain tissue recognition process on different Intensity of Voxel distribution characteristics, so as to extract a white matter image part, a gray matter image part and a spinal fluid image part from the 3D brain image, each of them It is also a 3D image. For example, the voxel value distribution range of gray matter, white matter, and spinal fluid can be based on the histogram of the number of voxel (Number of Voxel) versus the voxel value (Intensity of Voxel) obtained by analyzing the 3D brain image (i.e. , The relationship between the value of each voxel and the number of voxels), and is determined by a norm composed of three Gaussian distributions. In this embodiment, the voxel value distribution range of white matter is, for example, 7500-22500; the voxel value distribution range of gray matter is, for example, 5500-20000; and the voxel value distribution range of spinal fluid is, for example, 0-13000, but not here. limit. Therefore, the brain tissue recognition module 4 transmits multiple white matter image parts, multiple gray matter image parts, and multiple spinal fluid image parts captured from all 3D brain images to the processing module 5.

然後,在步驟S304中,為了降低後續演算複雜度,該處理模組5對於來自於該腦組織識別模組4的該等白質影像部分、該等灰質影像部分和該等脊髓液影像部分執行一降維處理。更明確地,由於該等白質影像部分、該等灰質影像部分和該等脊髓液影像部分均具有3D向量之資料形式,該處理模組5例如將每一白質/灰 質/脊髓液影像部分的3D向量的資料形式轉變成1D向量的資料形式,以利後續處理。 Then, in step S304, in order to reduce the complexity of subsequent calculations, the processing module 5 performs a process for the white matter image parts, the gray matter image parts, and the spinal fluid image parts from the brain tissue recognition module 4 Dimensionality reduction processing. More specifically, since the white matter image parts, the gray matter image parts, and the spinal fluid image parts all have a 3D vector data form, the processing module 5, for example, converts each white matter/gray The 3D vector data form of the qualitative/spinal fluid image part is transformed into a 1D vector data form for subsequent processing.

之後,該處理模組5根據降維後的所有白質影像部分(例如,對應於正常者的250個白質影像部分,及對應於神經精神疾病患者的250個白質影像部分),利用深度神經網路演算法自我學習訓練,獲得該第一判定模型(步驟S305)。特別要說明的是,在步驟S305的實際操作上,該處理模組5可先利用例如對應於正常者的200個白質影像部分及對應於神經精神疾病患者的200個白質影像部分共同作為學習訓練的資料部分以建立該第一判定模型。如圖7所示,該第一判定模型包含一輸入層、一與神經精神疾病患者的異常腦區相關連的特徵選擇層、多個隱藏層及一輸出層。然後,再利用剩下對應於正常者的50個白質影像部分和對應於神經精神疾病患者的50個白質影像部分共同作為驗證或測試該第一判定模型的資料部分。換言之,若出現錯誤的判定(即,驗證不成功),例如,當饋入該輸入層的資料是對應於正常者的白質影像部分,而在該輸出層卻產生例如指示出「具有一個或多個異常腦區及其所在位置」的判定結果,又或者當饋入該輸入層的資料是對應於神經精神疾病者的白質影像部分,而在該輸出層卻產生例如指示出「不具任何異常腦區」的判定結果,在此情況下,可根據驗證結果進一步調整在該特徵選擇層的相關參數,以提高該第一判定模型對於神經精神疾 病患者的白質影像部分的敏感度(Sensitivity),以及對於正常者的白質影像部分的特異度(Specificity)。 After that, the processing module 5 uses the deep neural network to perform a deep neural network based on all white matter image parts after dimensionality reduction (for example, 250 white matter image parts corresponding to normal persons, and 250 white matter image parts corresponding to neuropsychiatric patients). The algorithm self-learns and trains to obtain the first judgment model (step S305). In particular, in the actual operation of step S305, the processing module 5 can first use, for example, 200 white matter image parts corresponding to normal persons and 200 white matter image parts corresponding to neuropsychiatric patients together as learning and training. The data part to establish the first judgment model. As shown in FIG. 7, the first decision model includes an input layer, a feature selection layer related to abnormal brain regions of patients with neuropsychiatric diseases, multiple hidden layers, and an output layer. Then, the remaining 50 white matter image parts corresponding to the normal person and the 50 white matter image parts corresponding to the neuropsychiatric patients are used together as the data part for verifying or testing the first judgment model. In other words, if an erroneous judgment occurs (that is, the verification is unsuccessful), for example, when the data fed into the input layer corresponds to the normal white matter image portion, but the output layer generates, for example, an indication that "has one or more The result of determining the abnormal brain area and its location", or when the data fed into the input layer corresponds to the white matter image part of a person with neuropsychiatric disease, and the output layer indicates, for example, "no abnormal brain In this case, the relevant parameters in the feature selection layer can be further adjusted according to the verification result, so as to improve the effect of the first judgment model on neuropsychiatric disorders. Sensitivity of the white matter image of the patient, and specificity of the white matter image of the normal person.

同時,相似於步驟S305的操作,該處理模組5根據降維後的所有灰質影像部分(例如,對應於正常者的250個灰質影像部分,及對應於神經精神疾病患者的250個灰質影像部分),利用相同的深度神經網路演算法自我學習訓練,獲得該第二判定模型(步驟S306)。該第二判定模型具有相似於該第一判定模型的架構(見圖7)。在步驟S306的實際操作上,可完全相似於上述步驟S305所述的實際操作,在此不再贅述。同樣地,該處理模組5所獲得的該第二判定模型亦具有相對高的敏感度及特異度。 At the same time, similar to the operation of step S305, the processing module 5 calculates all gray matter image parts after dimensionality reduction (for example, 250 gray matter image parts corresponding to normal persons, and 250 gray matter image parts corresponding to neuropsychiatric patients). ), using the same deep neural network algorithm to self-learn and train to obtain the second judgment model (step S306). The second decision model has an architecture similar to the first decision model (see Figure 7). The actual operation of step S306 can be completely similar to the actual operation of step S305 described above, and will not be repeated here. Similarly, the second judgment model obtained by the processing module 5 also has relatively high sensitivity and specificity.

同時,相似於步驟S305的操作,該處理模組5根據降維後的所有脊髓液影像部分(例如,對應於正常者的250個脊髓液質影像部分,及對應於神經精神疾病患者的250個脊髓液影像部分),利用相同的深度神經網路演算法自我學習訓練,獲得該第三判定模型(步驟S307)。同樣地,該第三判定模型具有相似於該第一判定模型的架構(見圖7)。在步驟S307的實際操作上,亦可完全相似於上述步驟S305所述的實際操作,在此不再贅述。同樣地,該處理模組5所獲得的該第三判定模型亦具有相對高的敏感度及特異度。 At the same time, similar to the operation of step S305, the processing module 5 is based on all spinal fluid image parts after dimensionality reduction (for example, 250 spinal fluid image parts corresponding to a normal person, and 250 spinal fluid image parts corresponding to a neuropsychiatric patient). Spinal fluid image part), using the same deep neural network algorithm to self-learn and train to obtain the third judgment model (step S307). Similarly, the third decision model has an architecture similar to the first decision model (see FIG. 7). In the actual operation of step S307, it can also be completely similar to the actual operation described in step S305, which will not be repeated here. Similarly, the third judgment model obtained by the processing module 5 also has relatively high sensitivity and specificity.

以下,將參閱圖1、圖2及圖8來說明該神經精神疾病評估系統100如何對於一待評估者(如病人)的一待判定3D腦影像執 行神經精神疾病評估處理。此神經精神疾病評估處理包含以下步驟S801~S807。 Hereinafter, referring to Figs. 1, 2 and 8 to explain how the neuropsychiatric disease assessment system 100 performs a 3D brain image of a person to be assessed (such as a patient). Perform neuropsychiatric evaluation and treatment. This neuropsychiatric disease evaluation process includes the following steps S801 to S807.

首先,在步驟S801中,該使用終端20經由該通訊網路200將一包含該待判定3D腦影像的評估請求傳送至該判定平台10的該傳輸模組2。 First, in step S801, the user terminal 20 transmits an evaluation request containing the 3D brain image to be determined to the transmission module 2 of the determination platform 10 via the communication network 200.

然後,在步驟S802中,當該傳輸模組2接收到該評估請求時,該方位角校正模組3接收該待判定3D腦影像,且對於該待判定3D影像執行如上述步驟S302(圖3)所述的方位角校正處理來校正該待判定3D腦影像的該中心的3D方位角,並將校正後的該待判定3D腦影像傳送至該腦組織識別模組4。 Then, in step S802, when the transmission module 2 receives the evaluation request, the azimuth correction module 3 receives the to-be-determined 3D brain image, and performs the above-mentioned step S302 (FIG. 3) for the to-be-determined 3D image. ) The azimuth correction processing described above is to correct the 3D azimuth of the center of the 3D brain image to be determined, and send the corrected 3D brain image to be determined to the brain tissue recognition module 4.

之後,相似於上述步驟S303(圖3),在步驟S803中,該腦組織識別模組4對於來自該方位角校正模組3的該待判定3D腦影像(其方位角已校正),基於白質、灰質和脊髓液在腦影像上不同的體素特性,執行一腦組織識別處理,以便自校正後的該待判定3D腦影像,擷取出一待判定白質影像部分、一待判定灰質影像部分和一待判定脊髓液影像部分,並且將該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分傳送至該處理模組5。 After that, similar to the above-mentioned step S303 (FIG. 3), in step S803, the brain tissue recognition module 4 responds to the to-be-determined 3D brain image from the azimuth correction module 3 (its azimuth angle has been corrected) based on the white matter According to the different voxel characteristics of gray matter and spinal fluid on brain images, a brain tissue recognition process is performed, so that the 3D brain image to be determined after self-correction is extracted, a white matter image part to be determined, a gray matter image part to be determined, and A spinal fluid image portion to be determined, and the white matter image portion to be determined, the gray matter image portion to be determined, and the spinal fluid image portion to be determined are transmitted to the processing module 5.

然後,相似於上述步驟S304(圖3),在步驟S804中,該處理模組S804對於來自於該腦組織識別模組4的該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分執行降 維處理。 Then, similar to the above-mentioned step S304 (FIG. 3), in step S804, the processing module S804 treats the white matter image portion to be determined, the gray matter image portion to be determined and the gray matter image portion to be determined from the brain tissue recognition module 4 Spinal fluid imaging is partially performed Dimension processing.

之後,在步驟S805中,該處理模組5利用該儲存模組1儲存的該第一至第三判定模型,將具有1D向量之資料形式的該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分分別饋入該第一至第三判定模型的輸入層,經由該第一至第三神經精神疾病判定模型的該特徵選擇層和隱藏層的演算後,在該第一至第三判定模型的輸出層分別產生第一至第三判定結果。舉例來說,若該第一判定模型經演算判定出該待判定白質影像部分無任何異常腦區時,則該第一判定結果將指示出例如「FALSE1」(其代表該待判定白質影像部分不具有任何與神經精神疾病相關聯的異常腦區);或者若該第一判定模型經演算判定出該待判定白質影像部分具有一個或多個與神經精神疾病相關聯的異常腦區時,則該第一判定結果將指示出例如「TRUE1」(其表示該待判定白質影像部分具有與神經精神疾病相關聯的異常腦區),以及該(等)異常腦區的位置資料。但不以此例為限。同樣地,該第二判定結果可以指示出以下兩種情況之一:其一是指示出該待判定灰質影像部分具有一個或多個與神經精神疾病相關聯的異常腦區(例如,以「TRUE2」來表示)和該(等)異常腦區的位置資料;及另一種情況是指示出該待判定灰質影像部分不具有任何與神經精神疾病相關聯的異常腦區(例如,以「FALSE2」來表示)。同理,該第三判定結果可以指示 出以下兩種情況之一:其一是指示出該待判定脊髓液影像部分具有一個或多個與神經精神疾病相關聯的異常腦區(例如,以「TRUE3」來表示)和該(等)異常腦區的位置資料;及另一種情況是指示出該待判定脊髓液影像部分不具有任何與神經精神疾病相關聯的異常腦區(例如,以「FALSE3」來表示)。 After that, in step S805, the processing module 5 uses the first to third determination models stored in the storage module 1 to convert the white matter image portion to be determined and the gray matter image portion to be determined in the form of 1D vector data And the spinal fluid image part to be judged are respectively fed into the input layers of the first to third judgment models, and after the calculation of the feature selection layer and hidden layer of the first to third neuropsychiatric disease judgment models, in the first The output layers of the first to third decision models generate first to third decision results, respectively. For example, if the first determination model is calculated to determine that the white matter image portion to be determined does not have any abnormal brain regions, the first determination result will indicate, for example, "FALSE1" (which represents that the white matter image portion to be determined does not have any abnormal brain regions). Have any abnormal brain areas associated with neuropsychiatric diseases); or if the first determination model is calculated to determine that the white matter image portion to be determined has one or more abnormal brain areas associated with neuropsychiatric diseases, then The first determination result will indicate, for example, "TRUE1" (which indicates that the white matter image portion to be determined has an abnormal brain area associated with a neuropsychiatric disease), and location data of the abnormal brain area(s). But not limited to this example. Similarly, the second determination result can indicate one of the following two situations: one is to indicate that the gray matter image portion to be determined has one or more abnormal brain regions associated with neuropsychiatric diseases (for example, "TRUE2 "To indicate) and the location data of the abnormal brain area(s); and another case indicates that the gray matter image portion to be determined does not have any abnormal brain areas associated with neuropsychiatric diseases (for example, "FALSE2" Express). In the same way, the third judgment result can indicate One of the following two situations: One is to indicate that the spinal fluid image portion to be determined has one or more abnormal brain areas associated with neuropsychiatric diseases (for example, represented by "TRUE3") and the (etc.) Location data of abnormal brain regions; and another situation indicates that the spinal fluid image portion to be determined does not have any abnormal brain regions associated with neuropsychiatric diseases (for example, represented by "FALSE3").

然後,在步驟S806,該處理模組5根據該第一至第三判定結果產生一有關於異常腦區的評估結果,並回應於該評估請求將該評估結果作為一評估回覆經由該傳輸模組2傳送至該使用終端20。 Then, in step S806, the processing module 5 generates an evaluation result about abnormal brain regions according to the first to third determination results, and responds to the evaluation request with the evaluation result as an evaluation response via the transmission module 2 is transmitted to the user terminal 20.

最後,當該使用終端20接收到來自該判定平台10的該評估結果時,該使用終端20顯示該評估結果,以供使用者(如精神科醫師)快速得知該待評估者在白質、灰質和脊髓液的判定狀況(步驟S807)。值得一提的是,為了更容易解讀該判定輸出,特別是當該評估結果含有一筆或多筆位置資料時,該使用終端20可根據該評估結果所含的該等筆位置資料,例如於該待判定3D腦影像以特定標記加註在對應於該(等)筆位置資料的異常腦區之已知方式同時顯示該待判定3D腦影像和加註的特定標記,藉此使用者可藉由顯示的特定標記迅速獲得異常腦區的位置。 Finally, when the user terminal 20 receives the evaluation result from the determination platform 10, the user terminal 20 displays the evaluation result so that the user (such as a psychiatrist) can quickly learn that the person to be evaluated is in white matter and gray matter. And the determination status of spinal fluid (step S807). It is worth mentioning that, in order to make it easier to interpret the judgment output, especially when the evaluation result contains one or more pieces of position data, the user terminal 20 can use the pieces of position data contained in the evaluation result, for example, in the The 3D brain image to be determined is marked with a specific mark on the abnormal brain area corresponding to the position data (e.g.), and the 3D brain image to be determined and the specific mark added are displayed at the same time, so that the user can use The displayed specific markers quickly get the location of the abnormal brain area.

綜上所述,對於用於訓練該第一至第三判定模型的每一3D腦影像及該待判定3D腦影像均執行了方位角校正處理,藉此 能有效去除因頭動所導致的干擾並有助於建立精準的判定模型,以及精準的腦影像判定;此外,由於採用了無神經精神疾病的正常者和患有神經精神疾病之患者的3D腦影像來分別進行對應於白質、灰質及脊髓液等不同腦組織的模型訓練,因此,建立的該第一至第三判定模型不僅對於神經精神疾病患者的3D腦影像具有相對高的敏感度,而且對於無神經精神疾病之正常者的3D腦影像亦具有相對高的特異度。在應用上,包含該第一至第三判定結果的評估結果確實能提供給精神科醫師並作為在診斷神經精神疾病病患上有效的輔助判定依據。故確實能達成本發明的目的。 In summary, the azimuth correction processing is performed on each 3D brain image used to train the first to third judgment models and the 3D brain image to be judged, thereby It can effectively remove the interference caused by head movement and help to establish accurate judgment models and accurate brain image judgments; in addition, because the 3D brains of normal persons without neuropsychiatric diseases and patients with neuropsychiatric diseases are used Images are used to perform model training corresponding to different brain tissues such as white matter, gray matter, and spinal fluid. Therefore, the first to third judgment models established are not only relatively sensitive to 3D brain images of patients with neuropsychiatric diseases, but also The 3D brain images of normal persons without neuropsychiatric diseases also have relatively high specificity. In application, the evaluation results including the first to third judgment results can indeed be provided to psychiatrists and used as an effective auxiliary judgment basis for diagnosing neuropsychiatric patients. Therefore, it can indeed achieve the purpose of the invention.

惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。 However, the above are only examples of the present invention. When the scope of implementation of the present invention cannot be limited by this, all simple equivalent changes and modifications made in accordance with the scope of the patent application of the present invention and the content of the patent specification still belong to This invention patent covers the scope.

S301-S307...步驟S301-S307...Steps

Claims (9)

一種基於腦影像的神經精神疾病評估方法,利用一電腦系統來執行,並包含以下步驟:(A)獲得多個分別對應於多個無神經精神疾病之正常者的3D腦影像、及多個分別對應於多個患有神經精神疾病的患者的3D腦影像;(B)對於步驟(A)所獲得的每一3D腦影像,執行一方位角校正處理,其中一深度學習演算法被用來辨識擷取自該3D腦影像並且彼此正交及相交於該3D腦影像的中心的第一至第三2D影像部分,以便根據該第一至第三2D影像部分的辨識結果校正該3D腦影像的該中心的3D方位角;(C)對於校正後的每一3D腦影像,基於白質、灰質和脊髓液在腦影像上不同的體素特性,執行一腦組織識別處理以便自該3D腦影像,擷取出一白質影像部分、一灰質影像部分和一脊髓液影像部分;(D)分別根據步驟(C)所獲得且經過降維處理後的所有白質影像部分、所有灰質影像部分和所有脊髓液影像部分,利用深度神經網路演算法自我學習訓練,獲得分別對應於灰質、白質和脊髓液的第一至第三判定模型,該第一至第三判定模型其中每一者包含一輸入層、一與神經精神疾病患者的異常腦區相關連的特徵選擇層、多個隱藏層和一輸出層;(E)當接收到的一待判定3D腦影像時,對於該待判定3D腦影像,依序執行完該方位角校正處理和該腦組織識別 處理,以獲得對應於該待判定3D腦影像的一待判定白質影像部分、一待判定灰質影像部分和一待判定脊髓液影像部分;(F)將經過降維處理後的該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分分別饋入該第一至第三判定模型的輸入層,經由該第一至第三判定模型的該特徵選擇層和該等隱藏層的演算後,在該第一至第三判定模型的輸出層分別產生第一至第三判定結果;及(G)根據該第一至第三判定結果產生一有關於異常腦區的評估結果。 A neuropsychiatric disease assessment method based on brain images is implemented by a computer system and includes the following steps: (A) Obtain multiple 3D brain images corresponding to multiple normal persons without neuropsychiatric diseases, and multiple separate Corresponding to the 3D brain images of multiple patients with neuropsychiatric diseases; (B) For each 3D brain image obtained in step (A), perform azimuth correction processing, in which a deep learning algorithm is used to identify The first to third 2D image parts captured from the 3D brain image and orthogonal to each other and intersecting at the center of the 3D brain image, so as to correct the 3D brain image according to the recognition results of the first to third 2D image parts The 3D azimuth angle of the center; (C) For each corrected 3D brain image, based on the different voxel characteristics of white matter, gray matter and spinal fluid on the brain image, perform a brain tissue recognition process to extract the 3D brain image, Extract a white matter image part, a gray matter image part and a spinal fluid image part; (D) All white matter image parts, all gray matter image parts and all spinal fluid images obtained according to step (C) and after dimensionality reduction processing Part, using deep neural network algorithm self-learning training to obtain the first to third judgment models corresponding to gray matter, white matter, and spinal fluid. Each of the first to third judgment models includes an input layer, one and A feature selection layer, multiple hidden layers, and an output layer related to abnormal brain regions of patients with neuropsychiatric diseases; (E) When a 3D brain image to be determined is received, the 3D brain image to be determined is executed in sequence Finish the azimuth correction processing and the brain tissue recognition Processing to obtain a white matter image portion to be determined, a gray matter image portion to be determined, and a spinal fluid image portion to be determined corresponding to the 3D brain image to be determined; (F) the white matter image to be determined after dimensionality reduction processing Part, the gray matter image part to be judged and the spinal fluid image part to be judged are fed into the input layer of the first to third judgment models, through the feature selection layer and the hidden layers of the first to third judgment models After the calculation of, first to third judgment results are respectively generated in the output layers of the first to third judgment models; and (G) an evaluation result related to abnormal brain regions is generated according to the first to third judgment results. 如請求項1所述的基於腦影像的神經精神疾病評估方法,其中,在步驟(B)中,在對於每一3D腦影像:擷取自該3D腦影像的該第一至第三2D影像部分分別為該3D腦影像的三個分別垂直於冠向、矢向及軸向的切面;及在該方位角校正處理中,該深度學習演算法被用來判定該第一2D影像部分及該第三2D影像部分其中每一者在左右兩側是否大致彼此對稱,以及辨識出該第二2D影像部分所含的兩個分別對應於兩個預定腦部特徵的參考影像區且判定該等參考影像區的所在位置是否位於一水平線,在判定出該第一2D影像部分在左右兩側不對稱時,以相對於該冠向轉動該第一2D影像部分的方式校準該第一2D影像部分直到校準後的該第一2D影像部分在左右 兩側彼此大致對稱,並將相對於該冠向的總轉動角度作為校正後的該3D方位角在該冠向的校正角度,在判定出該等參考影像區的所在位置不位於一水平線時,以相對於該矢向轉動該第二2D影像部分的方式校準該第二2D影像部分直到在校準後的該第二2D影像部分的該等參考影像區的所在位置位於一水平線,並將相對於該矢向的總轉動角度作為校正後的該3D方位角在該矢向的校正角度,及在判定出該第三2D影像部分在左右兩側不對稱時,以相對於該軸向轉動該第三2D影像部分的方式校準該第三2D影像部分直到校準後的該第三2D影像部分在左右兩側彼此大致對稱,並將相對於該軸向的總轉動角度作為校正後的該3D方位角在該軸向的校正角度。 The method for evaluating neuropsychiatric diseases based on brain images according to claim 1, wherein, in step (B), for each 3D brain image: the first to third 2D images captured from the 3D brain image The parts are three slices of the 3D brain image that are perpendicular to the coronal, sagittal, and axial directions; and in the azimuth correction process, the deep learning algorithm is used to determine the first 2D image part and the second Whether each of the three 2D image parts is roughly symmetrical to each other on the left and right sides, and identify the two reference image regions contained in the second 2D image part corresponding to two predetermined brain features, and determine the reference images Whether the location of the zone is located on a horizontal line, when it is determined that the first 2D image portion is asymmetrical on the left and right sides, the first 2D image portion is calibrated by rotating the first 2D image portion relative to the coronal direction until it is calibrated After the first 2D image part is on the left and right The two sides are approximately symmetrical to each other, and the total rotation angle relative to the coronal direction is taken as the corrected angle of the 3D azimuth angle in the coronal direction after correction. When it is determined that the locations of the reference image areas are not on a horizontal line, Calibrate the second 2D image portion by rotating the second 2D image portion relative to the sagittal direction until the positions of the reference image regions of the second 2D image portion after calibration are located on a horizontal line, and will be relative to the The total rotation angle of the sagittal direction is taken as the corrected angle of the corrected 3D azimuth in the sagittal direction, and when it is determined that the third 2D image portion is asymmetric on the left and right sides, the third 2D image is rotated relative to the axial direction. Partially calibrate the third 2D image part until the calibrated third 2D image part is roughly symmetrical to each other on the left and right sides, and use the total rotation angle relative to the axis as the corrected 3D azimuth on the axis Correction angle to the direction. 如請求項1所述的基於腦影像的神經精神疾病評估方法,其中,在步驟(B)中,該深度學習演算法利用一卷積神經網路回歸模型來進行影像辨識及影像比對處理。 The method for evaluating neuropsychiatric diseases based on brain images according to claim 1, wherein, in step (B), the deep learning algorithm uses a convolutional neural network regression model to perform image recognition and image comparison processing. 如請求項1所述的基於腦影像的神經精神疾病評估方法,其中,在步驟(F)中,該第一至第三判定結果其中每一者指示出該待判定白質影像部分、該待判定灰質影像部分和待判定脊髓液影像部分其中一個對應影像部分具有至少一個與神經精神疾病相關聯的異常腦區和該至少一個異常腦區的位置資料,或者指示出該對應影像部分不具有任何與神經精神疾病相關聯的異常腦區。 The method for evaluating neuropsychiatric diseases based on brain imaging according to claim 1, wherein, in step (F), each of the first to third determination results indicates the portion of the white matter image to be determined and the portion of the white matter image to be determined One of the gray matter image portion and the spinal fluid image portion to be determined has at least one abnormal brain area associated with neuropsychiatric disease and location data of the at least one abnormal brain area, or indicates that the corresponding image portion does not have any Abnormal brain areas associated with neuropsychiatric diseases. 一種基於腦影像的神經精神疾病評估系統,包含: 一判定平台,包括一儲存模組,儲存有如請求項1所述的該第一至第三判定模型,一傳輸模組,適於接收一待判定3D腦影像,一方位角校正模組,連接該傳輸模組以接收該待判定3D腦影像,自該待判定3D腦影像擷取出彼此正交且相交於該待判定3D腦影像的中心的第一至第三2D影像部分,利用一深度學習演算法進行對於該第一至第三2D影像部分的影像辨識,且根據該第一至第三2D影像部分的辨識結果校正該待判定3D腦影像的該中心的3D方位角,一腦組織識別模組,連接該傳輸模組以接收校正後的該待判定3D腦影像,並基於白質、灰質和脊髓液在腦影像上不同的體素特性,自校正後的該待判定3D腦影像擷取出一待判定白質影像部分、一待判定灰質影像部分和一待判定脊髓液影像部分,及一處理模組,連接該儲存模組、該傳輸模組和該腦組織識別模組,並利用該儲存模組儲存的該第一至第三判定模型,將來自該腦組織識別模組的該待判定白質影像部分、該待判定灰質影像部分和該待判定脊髓液影像部分經過降維處理後分別饋入該第一至第三判定模型的輸入層,經由該第一至第三判定模型的特徵選擇層和隱藏層的演算後,在該第一至第三判定模型的輸出層分別產生第一至第三判定結果,而且根據該第一至第三判定結果產生一評估結果且經由該傳輸模組向外輸出該評估結果。 A neuropsychiatric disease assessment system based on brain imaging, including: A judgment platform, including a storage module, storing the first to third judgment models as described in claim 1, a transmission module, adapted to receive a 3D brain image to be judged, an azimuth correction module, connected The transmission module receives the 3D brain image to be determined, and extracts first to third 2D image parts orthogonal to each other and intersecting at the center of the 3D brain image to be determined from the 3D brain image to be determined, using a deep learning The algorithm performs image recognition of the first to third 2D image parts, and corrects the 3D azimuth angle of the center of the 3D brain image to be determined according to the recognition results of the first to third 2D image parts, a brain tissue recognition The module is connected to the transmission module to receive the corrected 3D brain image to be determined, and based on the different voxel characteristics of white matter, gray matter and spinal fluid on the brain image, self-corrected 3D brain image to be determined is extracted A white matter image portion to be determined, a gray matter image portion to be determined, and a spinal fluid image portion to be determined, and a processing module connected to the storage module, the transmission module and the brain tissue recognition module, and use the storage The first to third judgment models stored in the module feed the white matter image part to be judged, the gray matter image part to be judged and the spinal fluid image part to be judged from the brain tissue recognition module respectively after dimensionality reduction processing. Enter the input layers of the first to third decision models, and after the calculation of the feature selection layers and hidden layers of the first to third decision models, first to third decision models are generated in the output layers of the first to third decision models, respectively. The third determination result, and an evaluation result is generated according to the first to third determination results, and the evaluation result is externally output through the transmission module. 如請求項5所述的基於腦影像的神經精神疾病評估系統,其中:該方位角校正模組擷取的該第一至第三2D影像部分分別為該待判定3D腦影像的三個分別垂直於冠向、矢向及軸向的切面;及該方位角校正模組利用該深度學習演算法來判定該第一2D影像部分及該第三2D影像部分其中每一者在左右兩側是否大致彼此對稱,以及辨識出該第二2D影像部分所含的兩個分別對應於兩個預定腦部特徵的參考影像區且判定該等參考影像區的所在位置是否位於一水平線,在判定出該第一2D影像部分在左右兩側不對稱時,以相對於該冠向轉動該第一2D影像部分的方式校準該第一2D影像部分直到校準後的該第一2D影像部分在左右兩側彼此大致對稱,並將相對於該冠向的總轉動角度作為校正後的該3D方位角在該冠向的校正角度,在判定出該等參考影像區的所在位置不位於一水平線時,以相對於該矢向轉動該第二2D影像部分的方式校準該第二2D影像部分直到在校準後的該第二2D影像部分的該等參考影像區的所在位置位於一水平線,並將相對於該矢向的總轉動角度作為校正後的該3D方位角在該矢向的校正角度,及在判定出該第三2D影像部分在左右兩側不對稱時,以相對於該軸向轉動該第三2D影像部分的方式校準該第三2D影像部分直到校準後的該第三2D影像部分在左右兩 側彼此大致對稱,並將相對於該軸向的總轉動角度作為校正後的該3D方位角在該軸向的校正角度。 The neuropsychiatric disease assessment system based on brain images according to claim 5, wherein: the first to third 2D image parts captured by the azimuth correction module are three respectively vertical parts of the 3D brain image to be determined Cut planes in the coronal, sagittal, and axial directions; and the azimuth correction module uses the deep learning algorithm to determine whether each of the first 2D image portion and the third 2D image portion are substantially opposite to each other on the left and right sides It is symmetrical, and the two reference image regions contained in the second 2D image portion corresponding to two predetermined brain features are identified, and it is determined whether the positions of the reference image regions are located on a horizontal line. When the 2D image portion is asymmetric on the left and right sides, the first 2D image portion is calibrated by rotating the first 2D image portion relative to the coronal direction until the calibrated first 2D image portion is approximately symmetrical to each other on the left and right sides. , And regard the total rotation angle relative to the coronal direction as the corrected angle of the corrected 3D azimuth in the coronal direction. When it is determined that the positions of the reference image areas are not located on a horizontal line, it is relative to the sagittal direction Rotate the second 2D image portion to calibrate the second 2D image portion until the positions of the reference image regions of the second 2D image portion after calibration are located on a horizontal line, and the total rotation angle relative to the sagittal direction As the corrected angle of the corrected 3D azimuth in the sagittal direction, and when it is determined that the third 2D image portion is asymmetric on the left and right sides, the third 2D image portion is calibrated by rotating the third 2D image portion relative to the axial direction. The third 2D image part until the calibrated third 2D image part is on the left and right. The sides are approximately symmetrical to each other, and the total rotation angle relative to the axial direction is taken as the corrected angle of the 3D azimuth angle in the axial direction after correction. 如請求項5所述的基於腦影像的神經精神疾病評估系統,其中,該深度學習演算法利用一卷積神經網路模型來進行影像辨識及影像比對處理。 The neuropsychiatric disease assessment system based on brain images of claim 5, wherein the deep learning algorithm uses a convolutional neural network model to perform image recognition and image comparison processing. 如請求項5所述的基於腦影像的神經精神疾病評估系統,其中,該第一至第三判定結果其中每一者指示出該待判定白質影像部分、該待判定灰質影像部分和待判定脊髓液影像部分其中一個對應影像部分具有至少一個與神經精神疾病相關聯的異常腦區和該至少一個異常腦區的位置資料,或者指示出該對應影像部分不具有任何與神經精神疾病相關聯的異常腦區。 The neuropsychiatric disease assessment system based on brain imaging according to claim 5, wherein each of the first to third determination results indicates the white matter image portion to be determined, the gray matter image portion to be determined, and the spinal cord to be determined One of the corresponding image parts of the liquid image part has at least one abnormal brain area associated with neuropsychiatric disease and location data of the at least one abnormal brain area, or indicates that the corresponding image part does not have any abnormality associated with neuropsychiatric disease Brain area. 如請求項5所述的基於腦影像的神經精神疾病評估系統,還包含:一使用終端,經由一通訊網路與該傳輸模組通訊,以將該待判定3D腦影像傳送至該傳輸模組並接收來自該傳輸模組的該評估結果;其中,當該評估結果含有一筆或多筆位置資料時,該使用終端根據該評估結果所含的該(等)筆位置資料,於該待判定3D腦影像以特定標記加註在對應於該(等)筆位置資料的異常腦區之方式同時顯示該待判定3D腦影像和加註的特定標記。 The neuropsychiatric disease assessment system based on brain images according to claim 5, further comprising: a user terminal that communicates with the transmission module via a communication network to transmit the to-be-determined 3D brain image to the transmission module and Receive the evaluation result from the transmission module; wherein, when the evaluation result contains one or more pieces of position data, the terminal uses the position data (e.g.) contained in the evaluation result to perform the determination on the 3D brain The image displays the to-be-determined 3D brain image and the added specific mark at the same time in a manner that a specific mark is added to the abnormal brain area corresponding to the position data(s).
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